Wasatch Therapy Inc
Organization Active NPI Physical Therapy Clinic/Center · Ogden, UT
NPI 1700985249 · NPPES record last updated Sep 9, 2025
Key facts
- NPI
- 1700985249
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- WASATCH THERAPY INC
- Practice address
- 5349 S Adams Ave
Suite a
Ogden, UT 84405-4736 - Phone
- (801) 479-9865
- Fax
- (801) 479-5846
- NPI assigned
- Sep 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Jill Jenkins
- Title
- Business Manager
- Phone
- (801) 479-9865
Other NPIs on the same Medicare enrollment 3
Corporate family (same tax ID) 3
Practitioners 5
-
Deseret Day Allen, DNP, APRN, FNP-BC
-
Rusty L Jenkins, PT
-
Danielle Shinaut, PTA
-
Victoria Shihomi Ross, PT, DPT, CI, ATC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040802000797 | UT | Part B Supplier - Clinic/Group Practice | 3476524760 |
Receives reassigned benefits from 10 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Farmington, UT; Layton, UT; Ogden, UT; Roy, UT |
National Provider Directory
- Tax ID family
- Wasatch Therapy Inc
Locations
42 N 650 W
Ste A
Farmington, UT 84025
Phone (801) 447-9627
505 E Gentile St
Layton, UT 84041
5349 S 500 E
Ste A
Ogden, UT 84405
5360 S 1900 W
Ste B3
Roy, UT 84067
Phone (801) 774-8600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 109421-2401 | UT | |
| Physical Therapist |
225100000X | 274724-2401 | UT | |
| Physical Therapist |
225100000X | 5936026-2401 | UT | |
| Physical Therapist |
225100000X | 5946448-2401 | UT | |
| Physical Therapy Clinic/Center | 261QP2000X | Yes | ||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
5349 S Adams Ave
Suite a
Ogden, UT 84405-4736
Mailing address
5349 Adams Ave Pkwy Ste a
Ogden, UT 84405-4736
Phone (801) 479-9865
Other providers in Ogden, UT
- Wasatch Dermatology, PC
- Wasatch Physical and Rehabilitation Medicine, P.C.
- Wasatch Podiatry PLLC
- Wasatch Post-Acute Services
- Wasatch RPM LLC
- Hannah Washke
- Waterfall Canyon Academy, Inc.
- Waters Counseling
- Amelia Waters
- Matthew Waters
All providers in Ogden, UT · Physical Therapy Clinic/Center in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.